Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $88.74 / $163.10	Professional		$41.61	$88.74	$163.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $119.22 / $124.69	Professional		$58.99	$119.22	$124.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $86.92 / $159.11	Professional		$72.92	$86.92	$159.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $109.73 / $139.65	Professional		$50.45	$109.73	$139.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $124.69 / $164.30	Professional		$101.75	$124.69	$164.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $110.03 / $140.19	Professional		$29.27	$110.03	$140.19